Job Description

Actuary - Temp

• Primary responsibilities will include modeling for the commercial segment, financial projection development, and risk projection development. See below for more details. No specific tools, systems, or industries.

• Seeking a contract Actuary resource to cover for leave (expected Aug through EOY). Looking to hire and train ASAP.
• The candidate should have an Actuarial certification (ASA) or FSA

• Fully remote, working Eastern hours.

• More experience preferred, healthcare benefits experience highly preferred

Notes on the responsibilities:

There will be 2 areas of project-based work that would take place between August and September and some other areas of support:

• • Gathering forecast inputs from various sources; developing financial projections from those inputs; consolidating forecast results; understanding and communicating variances to prior forecast; developing exhibits and/or slides to support forecast communication to senior leadership and the Board.
  • Develop model to support market segment based financial projections for Commercial Insured business. Our forecasting infrastructure for Commercial insured business only supports aggregate Commercial insured financial projections. As a result, after a forecast is complete, we have to perform a retrospective allocation back to our Commercial insured market segments.
    • We would like to develop a forecast model that allows for prospective financial projections at the Commercial market segment level (Merged Market vs. Large Group Commercial vs. Large Group Municipal/Labor).
  • Conduct a Total Risk Analysis (TRA). Healthcare cost trend has become increasingly more difficult to predict, causing actual financial results to vary significantly from initial projections.
    • We would like to conduct a TRA to quantify risk across various risk sources (Insurance risk, Healthcare cost trend risk, risk adjustment risk, Member risk/selection risk) at the market segment level. This study will help us answer questions around "how much margin would we need to add to rates in order to be X% confident the rates are adequate" as well as "how much explicit margin would we need to add to our best estimate financial forecast in order to be X% confident that we will achieve that forecast". This analysis will be based on a recent SOA study on TRA (we will provide an analyst to help pull appropriate data).
  • Lastly, we would need some support for our 2026 Financial Planning process (October November).

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